Ganglion cyst excision

A ganglion cyst is a cystic mass that occurs in the tendon sheath of the joint, a condition caused by degeneration of connective tissue around the joint capsule. It contains a colorless transparent or orange, light yellow thick mucus, which is often found on the back of the wrist and the back of the foot. Most of the patients are young and middle-aged, and women are more common. The disease belongs to the category of "gluten" and "fascial tumor" in traditional Chinese medicine. It is a hemispherical bulge in the subcutaneous superficial, soft and pushable, and occurs mostly in the center of the wrist as the main clinical feature. A cystic mass that develops slowly on the back of the wrist or the back of the foot. It has a spherical shape with a smooth surface, clear boundaries, soft texture, and a sense of fluctuation. There is no obvious symptoms or slight aching. When the cyst fluid is full, the wall becomes hard. Local tenderness. When touched, the skin is full and has a fluent cystic feeling, accompanied by wrist weakness, discomfort or pain, mostly sore or radiation pain, which may have certain dysfunction. Cysts are large, affecting joint function, non-surgical treatment is ineffective or recurrent, should be surgically removed. Treatment of diseases: sphincter cysts, suppurative tenosynovitis Indication Cysts are large, affecting joint function, non-surgical treatment is ineffective or recurrent, should be surgically removed. Contraindications Older, combined with severe heart, liver, kidney and other diseases and difficult to tolerate surgery. Preoperative preparation A ganglion cyst is a benign mass that occurs on the dorsal, volar or instep of the wrist. Therefore, if there is a painless hemispherical mass in the wrist or the back of the foot, it should be considered as the disease, and it should be differentiated from epidermoid cyst, sebaceous adenoma or lipoma to avoid misdiagnosis. The disease generally has little effect on the human body, and very few can disappear on its own. Although there are many ways to treat this disease, most cases still have the possibility of recurrence. If the cyst is small, asymptomatic, and does not affect the appearance, you can not treat it, and wait and see. If the cyst is large and symptomatic, non-surgical treatment is feasible. Recurrent patients can be treated again. Surgical procedure Make a transverse incision along the dermatoglyph. Use a small hook to open the incision, longitudinally incision of the subcutaneous fascia, taking care to avoid nearby nerve branches and blood vessels (such as the temporal branch should pay attention to the superficial branch of the radial nerve and the deep branch of the radial artery), revealing the surface of the cyst, making it blunt or Sharp separation, separation of the cysts to the bottom. The base was separated with scissors and the entire cyst was removed. If the pedicle of the cyst is connected to the joint capsule, the joint capsule should be sutured after the cyst is removed; if it cannot be sutured, it can be left open. If the cyst wall is closely connected with the tendon sheath, most of the resection can be performed, and the part close to the tendon sheath should be kept. Do not damage the tendon sheath or tendon. If the sacral sheath is broken, it should be allowed to open and not to be sutured to avoid stenosis. After the cyst is removed, the bleeding point is ligated and the skin is sutured. complication Joint pain.

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